Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.01 / $3,111.00 / $8,907.44	Facility		$261.01	$3,111.00	$8,907.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $11,715.06 / $18,144.07 / $18,144.07	Facility	50	$11,715.06	$18,144.07	$18,144.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.91 / $297.05 / $623.35	Professional		$178.91	$297.05	$623.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $179.55 / $435.00 / $803.18	Professional	50	$179.55	$435.00	$803.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.37 / $271.08 / $726.85	Professional		$207.37	$271.08	$726.85
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $311.06 / $406.62 / $1,090.27	Professional	50	$311.06	$406.62	$1,090.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $232.92 / $1,254.00 / $4,050.00	Facility		$232.92	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $232.92 / $232.92 / $354.19	Professional		$232.92	$232.92	$354.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.45 / $283.45 / $3,479.91	Facility		$283.45	$283.45	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.86 / $375.00 / $901.54	Professional		$180.86	$375.00	$901.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $257.70 / $432.56	Facility		$192.25	$257.70	$432.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $297.05 / $346.65 / $518.78	Professional		$297.05	$346.65	$518.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.62 / $288.66 / $460.10	Professional		$215.62	$288.66	$460.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,311.76 / $2,311.76 / $2,782.45	Facility		$2,311.76	$2,311.76	$2,782.45
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,188.86 / $5,948.94 / $9,072.00	Facility	50	$2,188.86	$5,948.94	$9,072.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $283.45 / $597.00 / $8,498.00	Facility		$283.45	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $200.99 / $401.60 / $904.01	Professional		$200.99	$401.60	$904.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.11 / $314.22 / $768.98	Professional		$218.11	$314.22	$768.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $181.00 / $181.00 / $724.50	Facility		$181.00	$181.00	$724.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $203.69 / $311.52 / $528.40	Professional		$203.69	$311.52	$528.40